Biomaterial Database

Risk in a "Fee for Service" Health Care System. 1982

S Orbach, and S Seltzer

This paper describes an approach for assessing the financial risk inherent in a bid for the development and operation of a Management Information System (MIS) that includes processing of claims associated with a "Fee for Service" Health Care System. The discussion establishes the motivation for a risk assessment, defines the context of the problem, and proposes a risk-analysis procedure. Results attainable with the proposed approach are compared with those of a conventional analysis. The advantages of the proposed approach are addressed in terms of the added effort required.

UI	MeSH Term	Description	Entries
D007256	Information Systems	Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.	Ancillary Information Systems,Emergency Care Information Systems,Information Retrieval Systems,Perinatal Information System,Ancillary Information System,Information Retrieval System,Information System,Information System, Ancillary,Information System, Perinatal,Perinatal Information Systems,Systems, Information Retrieval
D008331	Management Information Systems	Systems designed to provide information primarily concerned with the administrative functions associated with the provision and utilization of services; also includes program planning, etc.	Information System, Management,Information Systems, Management,Management Information System,System, Management Information,Systems, Management Information
D011336	Probability	The study of chance processes or the relative frequency characterizing a chance process.	Probabilities
D003201	Computers	Programmable electronic devices designed to accept data, perform prescribed mathematical and logical operations at high speed, and display the results of these operations.	Calculators, Programmable,Computer Hardware,Computers, Digital,Hardware, Computer,Calculator, Programmable,Computer,Computer, Digital,Digital Computer,Digital Computers,Programmable Calculator,Programmable Calculators
D005251	Fees, Medical	Amounts charged to the patient as payer for medical services.	Fee, Medical,Medical Fee,Medical Fees
D012306	Risk	The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.	Relative Risk,Relative Risks,Risk, Relative,Risks,Risks, Relative
D013597	Systems Analysis	The analysis of an activity, procedure, method, technique, or business to determine what must be accomplished and how the necessary operations may best be accomplished.	Agent-Based Modeling,Analysis, Systems,Complexity Analysis,System Dynamics Analysis,Systems Approach,Systems Medicine,Systems Oriented Approach,Systems Thinking,Agent Based Modeling,Agent-Based Modelings,Analyses, Complexity,Analyses, System Dynamics,Analyses, Systems,Analysis, Complexity,Analysis, System Dynamics,Approach, Systems,Approach, Systems Oriented,Approachs, Systems,Approachs, Systems Oriented,Complexity Analyses,Dynamics Analyses, System,Dynamics Analysis, System,Medicine, Systems,Medicines, Systems,Modeling, Agent-Based,Modelings, Agent-Based,System Dynamics Analyses,Systems Analyses,Systems Approachs,Systems Medicines,Systems Oriented Approachs,Systems Thinkings,Thinking, Systems,Thinkings, Systems